Hip Pain

The hip joint is one of the largest and most important joints in the body. The hip joint, which carries half of the body weight, bears this load even more during activities such as walking, running, climbing stairs, and bending, and the load can increase several times the body weight. Therefore, certain congenital or acquired conditions in the hip joints can lead to serious problems if not detected early.

Main Causes of Hip Pain:

1. Congenital Causes:

   • The most significant condition seen in the hip joint during early childhood is congenital hip dislocation. If left untreated, this condition can cause pain, movement difficulty, and noticeable limping in later years.

2. Rheumatic Diseases:

   • Inflammatory or degenerative rheumatic diseases can lead to structural damage in the hip joint. The most common source of pain in adults is calcification in the hip joint.

3. Infections:

   • Infections that spread from other parts of the body or directly affect the hip joint can cause inflammation.

4. Tumors:

   • Cancer types such as breast, lung, and prostate cancer can spread to the hip joint, causing severe hip pain.

5. Vascular Causes:

   • Blockage of vessels that supply the hip bones or disruption of blood flow can lead to hip pain.

After determining the cause of hip pain, a detailed clinical examination and various imaging methods are used for diagnosis. Commonly used imaging methods are as follows:

• Classical X-ray
• Ultrasound
• Computed tomography (CT)
• Magnetic resonance imaging (MRI)

Hip Slippage

Hip slippage is a rare bone disorder caused by the displacement of the femoral head epiphysis. The incidence of hip slippage is about 8 per 100,000 people. Studies show that this condition is more common in black races.

Development of Hip Slippage:

Hip slippage generally does not become apparent at a young age. It can be most clearly diagnosed between the ages of 10-15, as the progression of the disease increases during this age range. Obesity is also a factor that accelerates the progression of this disease; excessive weight can speed up the slippage and worsen the condition.

The first symptoms of hip slippage include severe pain in the hip area, difficulty walking, and outward rotation of the foot. Physical examination can easily detect hip slippage, but a definitive diagnosis can be made through X-ray results.

Hip slippage is classified into three different stages based on the examination:

• Mild Slippage: Slippage up to 30 degrees
• Moderate Slippage: Slippage between 30-60 degrees
• Severe Slippage: Slippage greater than 60 degrees